Individual
RICARDO P BAYOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST FL 6, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25899
WI
2084P0800X
Psychiatry Physician
63313
MN
2084P0804X
Child & Adolescent Psychiatry Physician
036076798
IL
Other
Enumeration date
12/11/2006
Last updated
01/06/2023
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